RODERICK LAZO P.A.
NPI 1588789754
Physician Assistant in San Marcos, CA

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
400 CRAVEN RD, SAN MARCOS, CA 92078(760) 736-4125 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 1, 2021, Nov 24, 2021 (2 updates tracked since 2021).

About Roderick Lazo P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODERICK LAZO P.A. (NPI 1588789754) is an individual physician assistant in San Marcos, California, licensed in California (PA15633) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1588789754
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRODERICK LAZOCredential: P.A.
Location Address400 CRAVEN RDSan Marcos, CA 92078-4201
Mailing Address400 Craven RdSan Marcos, CA 92078-4201 · (760) 736-4125
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 20, 2007
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
✔ NPI 1588789754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA15633
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 CRAVEN RD, San Marcos, CA 92078

Secondary Practice Locations 2

Location 14647 Zion AveSan Diego, CA 92120-2507 · Phone (619) 528-5000
Location 23030 Childrens WaySan Diego, CA 92123-4232 · Phone (858) 966-6789

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roderick Lazo P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537348636
PECOS Enrollment IDI20110121000080
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
400 CRAVEN RD
SAN MARCOS, CA 92078
Family Medicine
400 CRAVEN RD
SAN MARCOS, CA 92078
Internal Medicine
400 CRAVEN RD
SAN MARCOS, CA 92078
Respiratory Therapist, Certified (Pulmonary Function Technologist)
400 CRAVEN RD
SAN MARCOS, CA 92078
Physical Therapist (Orthopedic)
400 CRAVEN RD
SAN MARCOS, CA 92078
Audiologist
400 CRAVEN RD
SAN MARCOS, CA 92078
Pharmacist
400 CRAVEN RD
SAN MARCOS, CA 92078
Podiatrist (Foot & Ankle Surgery)
400 CRAVEN RD
SAN MARCOS, CA 92078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roderick Lazo's NPI number?

The NPI number for Roderick Lazo is 1588789754. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Roderick Lazo located?

Roderick Lazo practices at 400 Craven Rd, San Marcos, CA 92078. The listed phone number is (760) 736-4125.

What is Roderick Lazo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Roderick Lazo enrolled in Medicare?

Yes. Roderick Lazo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roderick Lazo was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.